Evidence map›Paper›PMID 30945153›Full record

ArticleObesity surgery2019

Early Routine Upper Gastrointestinal Contrast Study Following Bariatric Surgery: an Indispensable Postoperative Care or a Medicolegal Heritage?

Francesco Pennestrì, Francesca Prioli, Luca Sessa, Pierpaolo Gallucci, Luigi Ciccoritti, Piero Giustacchini, Brunella Barbaro, Maria Gabriella Brizi, Pietro Princi, Rocco Bellantone and 1 more

Abstract read
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Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Francesco PennestrìU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Francesca PrioliU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Luca SessaU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy. luca.sessa@policlinicogemelli.it.
Pierpaolo GallucciU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Luigi CiccorittiU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Piero GiustacchiniDepartment of Endocrine and Metabolic Surgery, Mater Olbia Hospital, Strada Statale 125 Orientale Sarda, Olbia, 07026, Italy.
Brunella BarbaroU.O.C. Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. Gemelli 8, Rome, 00168, Italy.
Maria Gabriella BriziU.O.S.A. Radiologia d'Urgenza, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A. Gemelli 8, Rome, 00168, Italy.
Pietro PrinciU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Rocco BellantoneU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Marco RaffaelliU.O.C. Chirurgia Endocrina e Metabolica, Fondazione Policlinico Universitario A Gemelli IRCCS, L.go A. Gemelli 8, 00168, Rome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversità Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Concerns still exist regarding the role of early routine upper gastrointestinal contrast study (UGI) after bariatric procedures for detection of early complications. We reviewed our database to identify patients who underwent laparoscopic primary or redo surgery (previously placement of adjustable gastric banding), between January 2012 and December 2017. All the patients underwent UGI within 48 h after surgery. Among 1094 patients, early UGI was abnormal in 5 patients: in 4 cases a leak (one false positive) and in one case stenosis (one true positive) were suspected. In this clinical setting, five leaks were observed and required surgical re-exploration: 3 correctly identified and 2 not detected at UGI. Overall, 3 patients developed anastomotic stenosis. Our data suggest that early routine UGI after bariatric procedures has limited utility.

Indexed as

Bariatric SurgeryDiagnostic Techniques, Digestive SystemAdultAgedConstriction, PathologicContrast MediaDiagnostic Tests, RoutineEarly DiagnosisFemaleHumansJurisprudenceLaparoscopyMaleMedical FutilityMiddle AgedObesity, MorbidContrast MediaBariatric surgeryComplicationsLeakageMedicolegal issuePersonalized medicineStenosisUpper gastrointestinal contrast study

Identifiers

PMID30945153
OpenAlexW2932332402

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.